Child Information

Child's first name

Child's surname

Name known as

School Attending

Year Level

Child's Date of Birth (Please type in format "25th October 2016")

Sacraments Received

After you register please send a copy of your documents to Maribel Maniquiz on
hopperscrossingnorth.sacraments@cam.org.au
Once she receives the documents she will be in touch with you and will send you details about the program as soon as they become available.

Baptism Date (Please type in format "25th October 2016")

Reconciliation Date (Please type in format "25th October 2016")

Parents/Guardians Details

Person 1 Information

First name

Surname

Relationship to child

Religion (If Christian which denomination?)

Address

Preferred Phone Number

Alternate Phone Number

Email (Note this will be the email used for registration confirmation)

Person 2 Information

First name

Surname

Relationship to child

Religion (If Christian which denomination?)

Address

Preferred Phone Number

Alternate Phone Number

Email

Further Comments

Comments

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